Lung

Question 1

PA

Answer 1

98% of dx

Question 2

Lateral chest

Answer 2

Sternum

Isolation to see hiatal hernia

Question 3

Heart shadow is on

Answer 3

The Left

Question 4

Right side

Answer 4

3 lobes
Upper lobe = apex to bronchus
Middle lobe = bronchus to cardiophrenic angle
Lower lobe = everything below cardiophrenic angle

Question 5

Left side - 2 lobes

Answer 5

Left upper lobe = apex to cardiophrenic angle

Lower lobe = cardiophrenic angle to below

Question 6

Start above clavicels and compare

Answer 6

Side to side

Question 7

If one side white and one side dark white side is the problem - 2 possibilities

Answer 7

Pneumoia

Pancoast tumor

Question 8

White density goes well below clavicle with a straight line across
Productive cough (rusty brown sputum) for approx 10 days
Fever or recent hospital visit

Answer 8

Pneumonia

Question 9

White density with no shape

Associated with horner’s syndrome. Interruption of cervical sympathetics

Answer 9

Pancoast tumor

Question 10

Horner’s syndrome

Answer 10

Ptosis
Anhydrosis
Meiosis

Question 11

If missing vascular markings on both sides

Answer 11

Emphysema

Question 12

Radiographic findings emphysema

Answer 12

Bilateral darkened lung fields
Horizontal ribs
Stove pipe heart
Flattening of the diaphragmatic domes
Obliteration of the cardiophrenic angles

Question 13

Go to area of bronchi

Unilateral whitening and enlargement

Answer 13

Pneumonia

Bronchogenic carcinoma

Question 14

Consolidation of the lung

Answer 14

Pneumonia

Question 15

Has shape or go to case hx if no shape
Pt presents with productive cough for around 10 days and fever
Possible visit to hospital

Answer 15

Pneumonia

Question 16

No shape, so look at case hx - usually older
Long-term history of smoking (20-30 years)
Pt presents with coughing (non-productive) more than 30 days
Afebrile

Answer 16

Bronchogenic carcinoma

Question 17

Occasionally blood in cough

Answer 17

Bronchogenic carcinoma

Question 18

Bilateral whitening and enlargemnt on each side of bronchus

Answer 18

Sarcoidosis

Question 19

Unilateral hilar lymphadenopathy

Answer 19

Hodgkin’s lymphoma

Question 20

Well-circumscribed cannonball lesions

Answer 20

Pulmonary mets

Question 21

Tiny white spots throughout the lung

Answer 21

Tuberculosis

Question 22

Tuberculosis case management

Answer 22

Refer to authorities - CDC

Question 23

Pt presents with low-grade fever, night sweats, productive cough (yellow-green sputum)

Answer 23

Tuberculosis

Question 24

Small white lesions called Ghon lesions seen on x-ray

Answer 24

TB

Question 25

Postiive Tine test/Mantoux test
Purified protein derivative (PPD)
Just got back to states from 3rd world country

Answer 25

TB

Question 26

If heart shadow is larger than half the size of the chest

Answer 26

Cardiomegaly

Question 27

Gastric air bubble should be below level diaphragm, if not

Answer 27

Hiatal hernia

Question 28

Pt presents with gas, heartburn and indigestion

Answer 28

Hiatal hernia

Question 29

Vascular markings absent on one side

Answer 29

Pneumothorax

Atelectasis

Question 30

Go to side of bronchus darker in color

No vascular markings on the darker side

Answer 30

Pneumothorax on that side

Question 31

Go to side of the bronchus that is darker in color

Vascular markings on this side then the opposite side is the problem

Answer 31

Atelectasis